End-to-end Adaptive Dynamic Subsampling and Reconstruction for Cardiac MRI

Accelerating dynamic MRI is essential for enhancing clinical applications, such as adaptive radiotherapy, and improving patient comfort. Traditional deep learning (DL) approaches for accelerated dynamic MRI reconstruction typically rely on predefined or random subsampling patterns, applied uniformly across all temporal phases. This standard practice overlooks the potential benefits of leveraging temporal correlations and lacks the adaptability required for case-specific subsampling optimization, which holds the potential for maximizing reconstruction quality. Addressing this gap, we present a novel end-to-end framework for adaptive dynamic MRI subsampling and reconstruction. Our pipeline integrates a DL-based adaptive sampler, generating case-specific dynamic subsampling patterns, trained end-to-end with a state-of-the-art 2D dynamic reconstruction network, namely vSHARP, which effectively reconstructs the adaptive dynamic subsampled data into a moving image. Our method is assessed using dynamic cine cardiac MRI data, comparing its performance against vSHARP models that employ common subsampling trajectories, and pipelines trained to optimize dataset-specific sampling schemes alongside vSHARP reconstruction. Our results indicate superior reconstruction quality, particularly at high accelerations.